Please print and complete this form and send it with your remittance by post to: David Shelbourn Personal details Title: ...................... Forename(s):.......................……....………………….............. Surname: ............................................………………………………....……..........……... Address: ........................................................................……………....……...........……...... ................................................................................................................................. .................................................................. Postcode: .....................……… ........ Tel: ...........................................……….... E-mail: ................................................................. Payment details I enclose my subscription of: - £15 * (for UK members) I wish to make a donation to DEHS £10 Total payment enclosed £ ................... Please make cheque payable to: DEHS * Please note that the current subscription year
runs from 1 August 09 to 31 July 10.
Data Protection Act Areas of interest What do you consider to be your most interesting or significant connection(s) with the history ......................................................................................................................................................... .........................................................................................................................................................
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